Great Trail Care Center - Minerva Nursing Home
General Information
UPDATEFederal Provider Number
365674
Provider Name
GREAT TRAIL CARE CENTER
Provider Address
400 CAROLYN COURT
MINERVA, OH 44657
MINERVA, OH 44657
Provider Phone Number
(330) 868-4104
Provider SSA County
90
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREAT TRAIL CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-03-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40938
Reported LPN Staffing Hours per Resident per Day
0.67031
Reported RN Staffing Hours per Resident per Day
0.87500
Reported Licensed Staffing Hours per Resident per Day
1.54531
Reported Total Nurse Staffing Hours per Resident per Day
3.95469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05469
Expected CNA Staffing Hours per Resident per Day
2.45547
Expected LPN Staffing Hours per Resident per Day
0.72410
Expected RN Staffing Hours per Resident per Day
1.39620
Expected Total Nurse Staffing Hours per Resident per Day
4.57578
Adjusted CNA Staffing Hours per Resident per Day
2.40764
Adjusted LPN Staffing Hours per Resident per Day
0.76834
Adjusted RN Staffing Hours per Resident per Day
0.46827
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48377
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-01-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-09-09
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
14
Cycle 3 Total Health Score
42
Total Weighted Health Survey Score
37.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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